A group-based yoga therapy intervention for urinary incontinence in women: a pilot randomized trial.
A group-based yoga therapy intervention for urinary incontinence in women: a pilot randomized trial.
复制标题
基于小组的瑜伽治疗妇女尿失禁的干预：一项试验随机试验。
DOI：
10.1097/spv.0000000000000072
复制
发表时间：
2014-05
影响因子：
1.6
通讯作者：
Subak LL
中科院分区：
文献类型：
--
作者：
Huang AJ;Jenny HE;Chesney MA;Schembri M;Subak LL
探讨针对中老年女性尿失禁的团体瑜伽治疗干预的可行性、有效性和安全性。我们对 40 岁及以上患有压力性尿失禁、尿急性尿失禁或混合型尿失禁的流动女性进行了一项随机试验。女性被随机分配到为期 6 周的瑜伽治疗计划 (N=10)，其中包括每周两次的团体课程和每周一次的家庭练习，或等待对照组 (N=9)。所有参与者还收到了有关失禁标准行为自我管理策略的书面小册子。通过 7 天排尿日记评估失禁的变化。平均 (±SD) 年龄为 61.4 (±8.2) 岁，平均基线失禁频率为 2.5 (±1.3) 次/天。 6 周后，瑜伽治疗组的总失禁频率降低了 66%（每天减少 1.8 [±0.9] 次），而对照组则减少 13%（每天减少 0.3 [±1.7] 次）（P=0.049）。瑜伽治疗组的参与者还报告称，压力性尿失禁频率平均降低了 85%（每天减少 0.7 [±0.8] 次），而对照组则增加 25%（每天增加 0.2 [± 1.1] 次）（P=0.039）。与对照组相比，瑜伽疗法在急迫性尿失禁减少方面没有显着差异（每天减少 1.0 [±1.0] 次与 0.5 [±0.5] 次，P=0.20）。所有开始瑜伽治疗项目的女性都完成了至少 90% 的团体课程和练习课程。每组中有两名参与者报告了与干预无关的不良事件。研究结果提供了初步证据，支持基于团体的瑜伽治疗干预措施改善女性尿失禁的可行性、有效性和安全性。
To examine the feasibility, efficacy, and safety of a group-based yoga therapy intervention for middle-aged and older women with urinary incontinence. We conducted a pilot randomized trial of ambulatory women aged 40 years and older with stress, urgency, or mixed-type incontinence. Women were randomized to a 6-week yoga therapy program (N=10) consisting of twice weekly group classes and once weekly home practice or a waitlist control group (N=9). All participants also received written pamphlets about standard behavioral self-management strategies for incontinence. Changes in incontinence were assessed by 7-day voiding diaries. Mean (±SD) age was 61.4 (±8.2) years, and mean baseline frequency of incontinence was 2.5 (±1.3) episodes/day. After 6 weeks, total incontinence frequency decreased by 66% (1.8 [±0.9] fewer episodes/day) in the yoga therapy versus 13% (0.3 [±1.7] fewer episodes/day) in the control group (P=0.049). Participants in the yoga therapy group also reported an average 85% decrease in stress incontinence frequency (0.7 [±0.8] fewer episodes/day) compared to a 25% increase in controls (0.2 [± 1.1] more episodes/day) (P=0.039). No significant differences in reduction in urgency incontinence were detected between the yoga therapy versus control groups (1.0 [±1.0] versus 0.5 [±0.5] fewer episodes/day, P=0.20). All women starting the yoga therapy program completed at least 90% of group classes and practice sessions. Two participants in each group reported adverse events unrelated to the intervention. Findings provide preliminary evidence to support the feasibility, efficacy, and safety of a group-based yoga therapy intervention to improve urinary incontinence in women.